Future Improvements in European CMECPD:

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Future Improvements in European CME/CPD a
Personal View
Lino Gonçalves
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Topics for Discussion

• Accreditation of CME events/products
• Certification of individuals

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Topics for Discussion

• Accreditation of CME events/products
• Certification of individuals

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Accreditation of CME Products/Events
Why do we need an organised CME system in Europe ?
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CME in Europe

• Different CME-Systems
• between countries
• within countries
• between specialities

HARMONISATION
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UEMS - European Training Charter EUROPEAN UNION
OF MEDICAL SPECIALISTSU.E.M.S. October 1994

• 4.6. Article 6
• Continuing medical education (CME) is a moral and
  an ethical obligation for the individual medical
  specialist, but it should be a voluntary
  responsibility.

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European Accreditation Systems (2007)
FI
SE
NO
Mandatory
DK
IR
UK
Incentives
NL
DE
BL
Voluntary
CZ
SL
FR
AT
CH
HG
CR
RO
IT
SL
ES
PT
GR
TR
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Current Situation of European CME

• Continuing medical education (CME) systems are
  already in place in many european countries
• Some countries approach the implementation of a
  CME system
• National accreditation authorities are
  established by the medical profession or as
  governmental bodies
• Europe is slowly striving towards obligatory CME
  systems
• (free movement of MDs and patients within the EU,
  
• pressure from nat. authorities,
• health insurance companies etc.)

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European CME Why do we need it?

• European CME is needed for the accreditation of
  any CME-Event/Product in Medicine at the European
  level
• Need for Harmonisation
• European CME must be independent from Providers,
  Societies (National, ESC, Universities,.....),
  Industry (Pharma. Ind., med.-tech. Ind.)
• Need for an Independent Accreditor

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European CME Why do we need it?Public awareness
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European CME Why do we need it?Profession
Awareness
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European CME Why do we need it?Politician
Awareness
standard training of health professionals
combined with integrated methods and procedures
that are embedded in a culture of continuous
learning and improvement.
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European CME How Should the Accreditation Work ?
NAAs
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European CME How Should the EACCME Work ?

• Develop a Review or Governance Board (proposed
  by the Task Force).
• Regulate CME at the European level.
• Establish a general template for European CME
  accreditation.
• Supervise the accreditation performed by
  Sections Boards (quality control,
  independence).
• Support those Sections Boards that need
  assistance.
• Communicate on a regular basis with the NAAs.
• Report on a regular basis to the UEMS Executive.

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European CME What Should be Accredited ?

• Scientific/Educational events.
• Distance learning products (CD-ROMs,
  internet-based CME programmes, case-based
  learning).
• CME articles.
• Textbooks.
• Virtual reality CME.

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European CME How should it work ?

• Deal with international accreditation only.
• Use of international languages (other than
  English) should be allowed.
• Satellite symposia from industry must not be
  accredited.
• Monitors should be sent to some meetings.
• Report forms should be collected and analysed.

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European CME Future Perspectives

• Increase the number of applications.
• Accreditation of new forms of CME.
• More involvement of the NAAs.
• Further develop EACCME as a global accreditation
  organisation.
• Continue to respond to the needs of the
  profession.

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Topics for Discussion

• Accreditation of CME events/products
• Certification of individuals

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European Education Quality Policy
Education

• Universities
• Scientific Societies
• Teaching Hospitals
• Others

ECCIS (Sections Boards) NAAs
EACCME (Sections Boards) NAAs
Accreditation
Individual Certification
European Certification Council of Individual
Specialists
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European Individual Certification How Should it
Work ?
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Current Situation of European Certification

• Certification systems are already in place in
  many european countries.
• Some countries approach the implementation of a
  certification system
• Some specialties/subpecialties are already
  running european exams (without coordination and
  without a common framework).
• Europe is slowly striving towards obligatory
  certification and maybe even re-certification
• (free movement of MDs and patients within the
  EU,
• pressure from nat. authorities,
• health insurance companies etc.)

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European Certification How Should the ECCIS Work
?

• Develop a Review or Governance Board similar to
  what was proposed to EACCME.
• Regulate the certification at the European
  level.
• Establish a general template for the European
  Certification for all specialties/subspecialties.
• Supervise the certification performed by
  Sections Boards (quality control).
• Support those Sections Boards that need
  assistance.
• Communicate on a regular basis with the NAAs.
• Report on a regular basis to the UEMS Executive.

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European Certification What Should be Certified ?

• European Educational Programmes of
  Specialists/Subspecialist in training (ends with
  a Certification).

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European Certification How Should it Work?
Applicant applies on-line, provides requested
documentation (i.e. licences, diplomas) and
proceeds with the 3 assessments
_at_
_at_
_at_
MCQs on EACCME/SB accredited Textbook
chapters Guidelines Articles CME Products
E-logbook E-portfolio
360 Appraisal
Upon satisfactory completion Diploma issued by
ECCIS/SB
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EBAC / EBSC One Example of Individual
Certification
www.ebsc-accreditation.org
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European Certification What Should be Certified
in the Future?

• European Educational Programmes of Specialists/
  subpecialists in training (ends with a
  Certification).
• Certification of training centers/trainers
  (visits).
• Certification of pre-existing specialists/subspec
  ialists (European exam? Grandparent rule?).
• Re-certification of individual
  specialists/subspecialist with EACCME/SectionsBoa
  rds credits every 5 years.

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European Accreditation and Certification What
Should we do in the Future?

• It is better for the profession not to do
  anything and keep things like they are today

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Certification
Accreditation
Certification
Certification
Accreditation
Accreditation
Accreditation
Certification
Certification
Accreditation
Certification
Certification
Accreditation
Accreditation
Certification
Nothing is happening !!!
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European Accreditation and Certification What
Should we do in the Future?

• It is better for the profession not to do
  anything and keep things like they are today
• But then
• We have to be aware of the possibility that
  others will regulate everything for us

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European Accreditation/Certification We need to
work together !
NAAs
EU
UEMS EACCME ECCIS
Scientific Societies
S B
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Otherwise(the Past)
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European Accreditation/Certification We need to
work together ! (Today Future)
NAAs
EU
UEMS EACCME ECCIS
Scientific Societies
S B